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Weekly Alert

New Medicare Summary Notice

March 8, 2012

On March 7, 2012, the Centers for Medicare & Medicaid Services (CMS) announced the redesign of the Medicare Summary Notice (MSN), the statement that informs Medicare beneficiaries about their claims for Medicare services and benefits.  The … [Read more...] about New Medicare Summary Notice

Filed Under: Article Tagged With: Coverage & Appeals, Medicare Summary, Weekly Alert

Reducing Rehospitalizations… The Right Way

March 1, 2012

For several years, reducing rehospitalizations of Medicare beneficiaries has been a key public policy goal, the intent of which is to improve quality of care for beneficiaries and reduce costs for the Medicare program.[1]  Studies have shown … [Read more...] about Reducing Rehospitalizations… The Right Way

Filed Under: Article Tagged With: Acute Hospital Care, Observation Status, Skilled Nursing Facility, Weekly Alert

The President’s Proposed 2013 Budget: Impact on Medicare

February 17, 2012

This week, President Obama unveiled his Fiscal Year 2013 Budget.[1]  Overall, the Center for Medicare Advocacy believes that the budget demonstrates a commitment to  keeping the Medicare program strong and keeping the program's promise … [Read more...] about The President’s Proposed 2013 Budget: Impact on Medicare

Filed Under: Article Tagged With: Medicare and Health Care Reform, Weekly Alert

Investing in Our Future: Strengthening Medicare for 2012 and Beyond

February 9, 2012

This year brings another election season, another Congressional session, and another opportunity to fortify Medicare, both for those who rely on it now and for future generations. Medicare has been strengthened during the past few years.  … [Read more...] about Investing in Our Future: Strengthening Medicare for 2012 and Beyond

Filed Under: Article Tagged With: ACA, Medicare and Health Care Reform, Weekly Alert

Center for Medicare Advocacy Files Amicus Brief In Support Of the Affordable Care Act

February 2, 2012

Joining five other national organizations that represent the interests of elderly and disabled people, the Center for Medicare Advocacy filed an amicus brief on January 30 in the United States Supreme Court supporting a position of the federal … [Read more...] about Center for Medicare Advocacy Files Amicus Brief In Support Of the Affordable Care Act

Filed Under: Article Tagged With: litigation update, Weekly Alert

The Medicare Advance Beneficiary Notice of Non-Coverage (ABN): A Tool for Limiting Beneficiary Liability

January 26, 2012

Medicare's limitation on liability (LOL) protections[1] apply when a provider believes that an otherwise covered Medicare item or service will be denied because the item or service is not reasonable and necessary[2] or is for custodial care.[3] … [Read more...] about The Medicare Advance Beneficiary Notice of Non-Coverage (ABN): A Tool for Limiting Beneficiary Liability

Filed Under: Article Tagged With: Coverage & Appeals, Medicare Summary, Weekly Alert

Medicare Cost-Sharing for Qualified Medicare Beneficiaries

January 19, 2012

Balance Billing is Prohibited.  Period. New Guidance released jointly by the Center for Medicaid and CHIP Services (CMCS) and the Medicare-Medicaid Coordination Office (MMCO) once again highlights and advises about an issue that has created … [Read more...] about Medicare Cost-Sharing for Qualified Medicare Beneficiaries

Filed Under: Article Tagged With: Medicare Savings Programs, Weekly Alert

Voluntary Nursing Home Improvement Campaign Does Not Work

January 11, 2012

Nursing Facilities Participating in Advancing Excellence Still Among Worst Performers Many nursing facilities that are identified by the federal government as among the facilities providing the poorest quality of care to residents in the country … [Read more...] about Voluntary Nursing Home Improvement Campaign Does Not Work

Filed Under: Article Tagged With: Quality of Care, Skilled Nursing Facility, Weekly Alert

New Medicare Part D Pharmacy Notice Rule In Effect; Stay Tuned for Final Model Notice

January 5, 2012

Effective January 1, 2012, Medicare Part D plan enrollees who are unable to obtain a prescription drug at the pharmacy are now, in most instances, entitled to a written notice explaining how they can contact their Part D plan in order to initiate an … [Read more...] about New Medicare Part D Pharmacy Notice Rule In Effect; Stay Tuned for Final Model Notice

Filed Under: Article Tagged With: Medicare Part D / Prescription Drugs, Weekly Alert

Reminder: Medicare Covers Obesity Prevention with No Cost-Sharing

January 5, 2012

On November 29, 2011, CMS announced its decision to include coverage for obesity screening and counseling services for Medicare beneficiaries.[1] This new coverage for Medicare beneficiaries is another tool aimed at emphasizing prevention and … [Read more...] about Reminder: Medicare Covers Obesity Prevention with No Cost-Sharing

Filed Under: Article Tagged With: Medicare Part B, Preventive Benefits, Weekly Alert

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Jimmo v. Sebelius

Medicare covers skilled care to maintain or slow decline as well as to improve.

Improvement Isn’t Required. It’s the law!

Read more.

National Voices of Medicare Summit

With the many threats currently facing the Medicare program, now is the time to come together as allies and explore ways to advocate for comprehensive Medicare coverage, health equity, and quality health care. Drawing inspiration from real-life experiences and stories of beneficiaries and caregivers, we hope to share impactful discussions with you.

Learn more.

Center for Medicare Advocacy Follow 10,601 5,346

A national nonpartisan, nonprofit law organization working to advance access to comprehensive #Medicare coverage and quality #healthcare.

CMAorg
CMAorg avatar Center for Medicare Advocacy @CMAorg ·
15 Jul 2077388746765262880

Government programs like Medicare can be the difference between life & death - especially denials vs approvals. A denial is rarely the final answer. You have the right to appeal, and we're here to help you with that - from education to advocacy to litigation💙

Our free📬:

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CMAorg avatar Center for Medicare Advocacy @CMAorg ·
10 Jul 2075662102665064836

💙 It's Feel Good Friday! Today's feel good news: Medicare’s new GLP-1 Bridge could make treatment more affordable for millions.

Beginning July 1, some eligible people with Part D coverage can access certain weight-management medications for a $50 monthly copay.

GLP-1s may

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CMAorg avatar Center for Medicare Advocacy @CMAorg ·
7 Jul 2074602071580446810

🤖 Should Medicare pay for AI diagnostic software?

CMS is proposing a new payment pathway for algorithm-driven tools that can produce diagnoses, risk scores, or treatment recommendations.

Promise, red flag, or both?

Article:

📩More Medicare updates:

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CMS floats new Medicare payment category for AI diagnostic software: 6 notes 

CMS floats Medicare payment for AI diagnostic software, proposing a new category to standardize reimbursement for algorithm-driven clinical tools.

www.beckerspayer.com

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Retweet on Twitter Center for Medicare Advocacy Retweeted
ClevelandClinic avatar Cleveland Clinic @ClevelandClinic ·
6 Jul 2074195930111480230

Our cardiovascular researcher shares why AFibs happen when you sleep and what can you do about it:

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I’m Having AFib at Night: Should I Be Worried?

There are many reasons why you might go into AFib overnight — from sleep apnea to sleeping on your left side. A cardiovascular researcher explains.

cle.clinic

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